Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk / Judith BALAZS in Journal of Child Psychology and Psychiatry, 54-6 (June 2013)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 54-6 (June 2013) . - p.670-677 Titre : Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk Type de document : Texte imprimé et/ou numérique Auteurs : Judith BALAZS, Auteur ; Mónika MIKLOSI, Auteur ; Ágnes KERESZTENY, Auteur ; Christina W. HOVEN, Auteur ; Vladimir CARLI, Auteur ; Camilla WASSERMAN, Auteur ; Alan APTER, Auteur ; Julio BOBES, Auteur ; Romuald BRUNNER, Auteur ; Doina COSMAN, Auteur ; Pádraig COTTER, Auteur ; Christian HARING, Auteur ; Miriam IOSUE, Auteur ; Michael KAESS, Auteur ; Jean-Pierre KAHN, Auteur ; Helen KEELEY, Auteur ; Dragan MARUSIC, Auteur ; Vita POSTUVAN, Auteur ; Franz RESCH, Auteur ; Pilar A. SAIZ, Auteur ; Merike SISASK, Auteur ; Avigal SNIR, Auteur ; Alexandra TUBIANA, Auteur ; Airi VARNIK, Auteur ; Marco SARCHIAPONE, Auteur ; Danuta WASSERMAN, Auteur Article en page(s) : p.670-677 Langues : Anglais (eng) Mots-clés : Categorical diagnostic model  dimensional diagnostic model  subthreshold-depression  subthreshold-anxiety  adolescent  suicide  SEYLE Index. décimale : PER Périodiques Résumé : Background: Subthreshold-depression and anxiety have been associated with significant impairments in adults. This study investigates the characteristics of adolescent subthreshold-depression and anxiety with a focus on suicidality, using both categorical and dimensional diagnostic models. Methods: Data were drawn from the Saving and Empowering Young Lives in Europe (SEYLE) study, comprising 12,395 adolescents from 11 countries. Based on self-report, including Beck Depression Inventory-II (BDI-II), Zung Self-Rating Anxiety Scale (SAS), Strengths and Difficulties Questionnaire (SDQ) and Paykel Suicide Scale (PSS) were administered to students. Based on BDI-II, adolescents were divided into three groups: nondepressed, subthreshold-depressed and depressed; based on the SAS, they were divided into nonanxiety, subthreshold-anxiety and anxiety groups. Analyses of Covariance were conducted on SDQ scores to explore psychopathology of the defined groups. Logistic regression analyses were conducted to explore the relationships between functional impairments, suicidality and subthreshold and full syndromes. Results: Thirty-two percent of the adolescents were subthreshold-anxious and 5.8% anxious, 29.2% subthreshold-depressed and 10.5% depressed, with high comorbidity. Mean scores of SDQ of subthreshold-depressed/anxious were significantly higher than the mean scores of the nondepressed/nonanxious groups and significantly lower than those of the depressed/anxious groups. Both subthreshold and threshold-anxiety and depression were related to functional impairment and suicidality. Conclusions: Subthreshold-depression and subthreshold-anxiety are associated with an increased burden of disease and suicide risk. These results highlight the importance of early identification of adolescent subthreshold-depression and anxiety to minimize suicide. Incorporating these subthreshold disorders into a diagnosis could provide a bridge between categorical and dimensional diagnostic models. En ligne : http://dx.doi.org/10.1111/jcpp.12016 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=200 [article] Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk [Texte imprimé et/ou numérique] / Judith BALAZS, Auteur ; Mónika MIKLOSI, Auteur ; Ágnes KERESZTENY, Auteur ; Christina W. HOVEN, Auteur ; Vladimir CARLI, Auteur ; Camilla WASSERMAN, Auteur ; Alan APTER, Auteur ; Julio BOBES, Auteur ; Romuald BRUNNER, Auteur ; Doina COSMAN, Auteur ; Pádraig COTTER, Auteur ; Christian HARING, Auteur ; Miriam IOSUE, Auteur ; Michael KAESS, Auteur ; Jean-Pierre KAHN, Auteur ; Helen KEELEY, Auteur ; Dragan MARUSIC, Auteur ; Vita POSTUVAN, Auteur ; Franz RESCH, Auteur ; Pilar A. SAIZ, Auteur ; Merike SISASK, Auteur ; Avigal SNIR, Auteur ; Alexandra TUBIANA, Auteur ; Airi VARNIK, Auteur ; Marco SARCHIAPONE, Auteur ; Danuta WASSERMAN, Auteur . - p.670-677. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 54-6 (June 2013) . - p.670-677 Mots-clés : Categorical diagnostic model  dimensional diagnostic model  subthreshold-depression  subthreshold-anxiety  adolescent  suicide  SEYLE Index. décimale : PER Périodiques Résumé : Background: Subthreshold-depression and anxiety have been associated with significant impairments in adults. This study investigates the characteristics of adolescent subthreshold-depression and anxiety with a focus on suicidality, using both categorical and dimensional diagnostic models. Methods: Data were drawn from the Saving and Empowering Young Lives in Europe (SEYLE) study, comprising 12,395 adolescents from 11 countries. Based on self-report, including Beck Depression Inventory-II (BDI-II), Zung Self-Rating Anxiety Scale (SAS), Strengths and Difficulties Questionnaire (SDQ) and Paykel Suicide Scale (PSS) were administered to students. Based on BDI-II, adolescents were divided into three groups: nondepressed, subthreshold-depressed and depressed; based on the SAS, they were divided into nonanxiety, subthreshold-anxiety and anxiety groups. Analyses of Covariance were conducted on SDQ scores to explore psychopathology of the defined groups. Logistic regression analyses were conducted to explore the relationships between functional impairments, suicidality and subthreshold and full syndromes. Results: Thirty-two percent of the adolescents were subthreshold-anxious and 5.8% anxious, 29.2% subthreshold-depressed and 10.5% depressed, with high comorbidity. Mean scores of SDQ of subthreshold-depressed/anxious were significantly higher than the mean scores of the nondepressed/nonanxious groups and significantly lower than those of the depressed/anxious groups. Both subthreshold and threshold-anxiety and depression were related to functional impairment and suicidality. Conclusions: Subthreshold-depression and subthreshold-anxiety are associated with an increased burden of disease and suicide risk. These results highlight the importance of early identification of adolescent subthreshold-depression and anxiety to minimize suicide. Incorporating these subthreshold disorders into a diagnosis could provide a bridge between categorical and dimensional diagnostic models. En ligne : http://dx.doi.org/10.1111/jcpp.12016 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=200

Life-time prevalence and psychosocial correlates of adolescent direct self-injurious behavior: A comparative study of findings in 11 European countries / Romuald BRUNNER in Journal of Child Psychology and Psychiatry, 55-4 (April 2014)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 55-4 (April 2014) . - p.337-348 Titre : Life-time prevalence and psychosocial correlates of adolescent direct self-injurious behavior: A comparative study of findings in 11 European countries Type de document : Texte imprimé et/ou numérique Auteurs : Romuald BRUNNER, Auteur ; Michael KAESS, Auteur ; Peter PARZER, Auteur ; Gloria FISCHER, Auteur ; Vladimir CARLI, Auteur ; Christina W. HOVEN, Auteur ; Camilla WASSERMAN, Auteur ; Marco SARCHIAPONE, Auteur ; Franz RESCH, Auteur ; Alan APTER, Auteur ; Judith BALAZS, Auteur ; Shira BARZILAY, Auteur ; Julio BOBES, Auteur ; Paul CORCORAN, Auteur ; Doina COSMANM, Auteur ; Christian HARING, Auteur ; Miriam IOSUEC, Auteur ; Jean-Pierre KAHN, Auteur ; Helen KEELEY, Auteur ; Gergely MESZAROS, Auteur ; Bogdan NEMES, Auteur ; Tina PODLOGAR, Auteur ; Vita POSTUVAN, Auteur ; Pilar A. SAIZ, Auteur ; Merike SISASK, Auteur ; Alexandra TUBIANA, Auteur ; Airi VARNIK, Auteur ; Danuta WASSERMAN, Auteur Article en page(s) : p.337-348 Mots-clés : Direct self-injurious behavior  self-harm  nonsuicidal self-injury  psychopathology  gender  adolescents  suicide Index. décimale : PER Périodiques Résumé : Objectives To investigate the prevalence and associated psychosocial factors of occasional and repetitive direct self-injurious behavior (D-SIB), such as self-cutting, -burning, -biting, -hitting, and skin damage by other methods, in representative adolescent samples from 11 European countries. Methods Cross-sectional assessment of adolescents was performed within the European Union funded project, Saving and Empowering Young Lives in Europe (SEYLE), which was conducted in 11 European countries. The representative sample comprised 12,068 adolescents (F/M: 6,717/5,351; mean age: 14.9 ± 0.89) recruited from randomly selected schools. Frequency of D-SIB was assessed by a modified 6-item questionnaire based on previously used versions of the Deliberate Self-Harm Inventory (DSHI). In addition, a broad range of demographic, social, and psychological factors was assessed. Results Overall lifetime prevalence of D-SIB was 27.6%; 19.7% reported occasional D-SIB and 7.8% repetitive D-SIB. Lifetime prevalence ranged from 17.1% to 38.6% across countries. Estonia, France, Germany, and Israel had the highest lifetime rates of D-SIB, while students from Hungary, Ireland, and Italy reported low rates. Suicidality as well as anxiety and depressive symptoms had the highest odds ratios for both occasional and repetitive D-SIB. There was a strong association of D-SIB with both psychopathology and risk-behaviors, including family related neglect and peer-related rejection/victimization. Associations between psychosocial variables and D-SIB were strongly influenced by both gender and country. Only a minor proportion of the adolescents who reported D-SIB ever received medical treatment. Conclusion These results suggest high lifetime prevalence of D-SIB in European adolescents. Prevalence as well as psychosocial correlates seems to be significantly influenced by both gender and country. These results support the need for a multidimensional approach to better understand the development of SIB and facilitate culturally adapted prevention/intervention. En ligne : http://dx.doi.org/10.1111/jcpp.12166 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229 [article] Life-time prevalence and psychosocial correlates of adolescent direct self-injurious behavior: A comparative study of findings in 11 European countries [Texte imprimé et/ou numérique] / Romuald BRUNNER, Auteur ; Michael KAESS, Auteur ; Peter PARZER, Auteur ; Gloria FISCHER, Auteur ; Vladimir CARLI, Auteur ; Christina W. HOVEN, Auteur ; Camilla WASSERMAN, Auteur ; Marco SARCHIAPONE, Auteur ; Franz RESCH, Auteur ; Alan APTER, Auteur ; Judith BALAZS, Auteur ; Shira BARZILAY, Auteur ; Julio BOBES, Auteur ; Paul CORCORAN, Auteur ; Doina COSMANM, Auteur ; Christian HARING, Auteur ; Miriam IOSUEC, Auteur ; Jean-Pierre KAHN, Auteur ; Helen KEELEY, Auteur ; Gergely MESZAROS, Auteur ; Bogdan NEMES, Auteur ; Tina PODLOGAR, Auteur ; Vita POSTUVAN, Auteur ; Pilar A. SAIZ, Auteur ; Merike SISASK, Auteur ; Alexandra TUBIANA, Auteur ; Airi VARNIK, Auteur ; Danuta WASSERMAN, Auteur . - p.337-348. in Journal of Child Psychology and Psychiatry > 55-4 (April 2014) . - p.337-348 Mots-clés : Direct self-injurious behavior  self-harm  nonsuicidal self-injury  psychopathology  gender  adolescents  suicide Index. décimale : PER Périodiques Résumé : Objectives To investigate the prevalence and associated psychosocial factors of occasional and repetitive direct self-injurious behavior (D-SIB), such as self-cutting, -burning, -biting, -hitting, and skin damage by other methods, in representative adolescent samples from 11 European countries. Methods Cross-sectional assessment of adolescents was performed within the European Union funded project, Saving and Empowering Young Lives in Europe (SEYLE), which was conducted in 11 European countries. The representative sample comprised 12,068 adolescents (F/M: 6,717/5,351; mean age: 14.9 ± 0.89) recruited from randomly selected schools. Frequency of D-SIB was assessed by a modified 6-item questionnaire based on previously used versions of the Deliberate Self-Harm Inventory (DSHI). In addition, a broad range of demographic, social, and psychological factors was assessed. Results Overall lifetime prevalence of D-SIB was 27.6%; 19.7% reported occasional D-SIB and 7.8% repetitive D-SIB. Lifetime prevalence ranged from 17.1% to 38.6% across countries. Estonia, France, Germany, and Israel had the highest lifetime rates of D-SIB, while students from Hungary, Ireland, and Italy reported low rates. Suicidality as well as anxiety and depressive symptoms had the highest odds ratios for both occasional and repetitive D-SIB. There was a strong association of D-SIB with both psychopathology and risk-behaviors, including family related neglect and peer-related rejection/victimization. Associations between psychosocial variables and D-SIB were strongly influenced by both gender and country. Only a minor proportion of the adolescents who reported D-SIB ever received medical treatment. Conclusion These results suggest high lifetime prevalence of D-SIB in European adolescents. Prevalence as well as psychosocial correlates seems to be significantly influenced by both gender and country. These results support the need for a multidimensional approach to better understand the development of SIB and facilitate culturally adapted prevention/intervention. En ligne : http://dx.doi.org/10.1111/jcpp.12166 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229

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